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Provider Network Director jobs in Indiana

Provider Network Director directs and develops a healthcare provider network. Designs and administers policies and services that comply with all contractual and regulatory requirements. Being a Provider Network Director requires a bachelor's degree. Typically reports to top management. The Provider Network Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Provider Network Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

Recently Added Provider Network Director jobs

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Director of Provider & Clinical Outreach
  • Lutheran Health Network
  • Fort Wayne, IN FULL_TIME
  • Job Description

    Essential Duties and Responsibilities:

    • Supports market/hospital leaders and outreach team members to effectively align and achieve goals by

    establishing and maintaining provider and outreach relationships; planning and coordinating strategic service

    line efforts; effectively leveraging appropriate data; and consistent communication of goals/outcomes.

    • In coordination with Regional/Market Provider Relations and Market/Hospital leadership, develops quarterly

    strategic targeting objectives in alignment with market strategies and initiatives.

    • Supports market/facility leadership in the strategic planning process to provide alignment insight, provider

    preferences, outreach preferences, and service line growth opportunities through available appropriate data

    sources.

    • Develops a collaborative relationship with the Regional Director of Provider Relations to maintain structure

    and integrity of the program, DPO/DCO efforts, growth strategies, service line development, best practice

    sharing, data mining, and execution on growth initiatives.

    • Ensures timely documentation for outreach calls (meetings) and Issue Resolution Management into the PRM

    system.

    • Supports monthly and quarterly face-to-face growth meetings with appropriate leaders to ensure a thorough

    understanding of our current state of provider/clinical outreach engagements, utilization of facilities, and

    continued opportunities to enhance quality focus, improve access to delivery of care, and identify/eliminate

    obstacles of available services in our community.

    • Collaborates weekly (or as needed) with Market/Hospital CEOs to discuss trends, business growth opportunities,

    obstacles to service line retention, and results from the previous week’s Provider Relations outreach activities.

    • In alignment with Market/Hospital CEOs, continuously review and modify growth and expansion strategies.
    • Attends weekly/monthly market, regional, and/or corporate Provider Relations meetings for enhanced alignment,

    training, and development.

    Job Qualifications

    • Education: Minimum of a Bachelor’s Degree in Business, Communication, and/or Healthcare related

    field from an accredited college or university; Master’s degree in Business and/or Health

    Administration preferred.

    • Experience: Requires a minimum of three (3) years healthcare experience.
    • Expected Travel: Outward facing 75% of the time, along with occasional training and development

    travel.

    Key Competencies/Requirements

    • Ability to research, understand, and explain healthcare service line volumes, provider affinity insight,

    facility financial reports, relationship management strategies, and market demographic data tools and

    other insightful reports (i.e. Excel, CRM/PRM platforms, Claims Data Software, marketing data

    sources, etc.).

    • Ability to demonstrate an executive presence with all levels of the organization, while

    demonstrating engagement, confidence, persuasive communication skills, emotional intelligence,

    and organizational awareness.

    • Ability to execute with consistent and timely documentation, proactive with identifying and

    resolving market concerns and opportunities.

    • Maintains and upholds the highest standard of ethical behavior in all circumstances.
    • Brings high energy, a positive attitude, and a will to win. Perseveres relentlessly when challenged,

    acts proactively, and inspires others to do the same.

    • Confident and resourceful in taking initiatives to build relationships and meet patient/provider needs.
    • Treats the needs of providers, staff, and patients as a priority. Works to develop and communicate

    solutions that meet customer needs. Listens well and is considered a subject-matter expert in problem-

    solving for outreach, strategy, and growth.

    • Takes a systematic and organized approach to growth development processes and works

    effectively to rapidly progress decision-makers to action. Able to prioritize

    • Is accountable and accepts accountability for one’s own actions and results. Can be depended upon to

    execute on agreed upon actions to support both individual and team objectives. Committed to

    continuous self-improvement

    • Works well with others, provides support and assistance to team members, and helps others to

    accomplish objectives.

    Reporting Relationships

    • Direct Report: Market/Regional Director of Provider Relations
    • Indirect: Market/Hospital CEO
    • Supervises: N/A

    Physical Demands

    In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below:

    • The Employee is required to read, review, prepare and analyze written data and figures, using a PC or similar, and

    should possess visual acuity.

    • The Employee may be required to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and/or

    perform repetitive motions.

    • The Employee is not substantially exposed to adverse environmental conditions and; therefore, job functions are

    typically performed under

    • The Employee is not substantially exposed to adverse environmental conditions and; therefore, job functions are

    typically performed under conditions such as those found within general office or administrative work.
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Medical Director
  • KPG Provider Services
  • Mishawaka, IN FULL_TIME
  • Outpatient Facility: Looking for an experienced Medical Director in the Mishawaka, Indiana area. Below you will find the Position Overview with all the detail regarding the position. Position Overview...
  • 7 Days Ago
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Communications and Marketing Director, Network
  • Lutheran Health Network
  • Fort Wayne, IN FULL_TIME
  • Job DescriptionJob SummaryThis position reports to the market's lead CEO, with a dotted-line reporting relationship to the Regional Marketing Director. Primary responsibilities include management and ...
  • 18 Days Ago
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Manager, Provider Network Performance
  • CareSource Management Services LLC
  • Indiana, IN FULL_TIME
  • Job Summary: The Manager, Provider Network Performance provides leadership and direction to staff to ensure the goals of the department are successfully achieved. Essential Functions: Ensure accurate ...
  • 3 Days Ago
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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Lafayette, IN CONTRACTOR
  • In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
  • 9 Days Ago
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Network and Provider Relations Manager
  • CommuniCare Family of Companies
  • Indianapolis, IN FULL_TIME
  • Network and Provider Relations ManagerCommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantage...
  • 1 Day Ago
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Provider Network Director jobs at Popular Companies

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • New Haven, CT
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Atlantic City, NJ
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Washington, DC
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Dover, DE
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Charlottesville, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Fredericksburg, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Richmond, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Director of Networking
  • Insight Global
  • Director of Network Services and Engineering Must be in Nashville, TN - Hybrid schedule of 3 days onsite Requirements: 1...
  • 6/7/2024 12:00:00 AM
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About Indiana

Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west. Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$169,046 to $218,400

Most Popular Cities in Indiana for Provider Network Director Jobs

What does a Provider Network Director do?

Provider Network Director in Columbus, OH
In either scenario, taking these three steps can help you determine whether a network change will genuinely lower your costs.
February 09, 2020
Provider Network Director in Portland, ME
We offer providers a value-based reimbursement model centered on aligning quality measures, HEDIS measures and HH incentives to reward high-quality care of the members you serve.
December 12, 2019
Provider Network Director in Temple, TX
However, from a state regulator’s and the health plan’s perspective, the sheer number of providers in the network overall is only part of the story.
December 21, 2019